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Toward Sustainable Diets-Interventions and Perceptions Among Adolescents: A Scoping Review. 实现可持续饮食--青少年的干预措施和观念:范围审查。
IF 6.1 2区 医学
Nutrition reviews Pub Date : 2024-05-29 DOI: 10.1093/nutrit/nuae052
Adeline R Lanham, Jolieke C van der Pols
{"title":"Toward Sustainable Diets-Interventions and Perceptions Among Adolescents: A Scoping Review.","authors":"Adeline R Lanham, Jolieke C van der Pols","doi":"10.1093/nutrit/nuae052","DOIUrl":"https://doi.org/10.1093/nutrit/nuae052","url":null,"abstract":"<p><p>Adolescence is an important life stage during which shifts toward more healthy and sustainable diets can be promoted. Adolescents have increasing influence over their food choices, informed by their developing personal knowledge and values, affecting long-term dietary behaviors into adulthood. The recent literature regarding adolescents' (1) perceptions of environmentally sustainable diets and (2) interventions to support adolescents to eat sustainably was reviewed in this study. We reviewed published literature that focused on adolescent participants and their perceptions of, or interventions to support, sustainable dietary habits. Five electronic databases were searched to include studies published since 2012 that met the inclusion criteria, including reporting of participants aged between 11 and 18 years, reporting on adolescents' perceptions of sustainable diets or interventions implemented to improve the sustainability of adolescents' diets, and framed in the context of sustainability. Data were extracted, including study and participant characteristics, methodology, and results in relation to each of the 2 research focus areas. Twenty-eight articles were included in the review. Findings suggest that adolescents' understanding of what constitutes sustainable eating is poor. Adolescents who had previously received education regarding sustainable diets valued nature and health, or were from a rural or indigenous community, were more likely to value environmentally sustainable-food choices. Interventions which target adolescents' understanding of and aspiration to make sustainable-food choices appears to improve their attitudes toward sustainable food, whereas interventions to increase the availability of sustainable foods improved the environmental sustainability of adolescents' dietary intake. Multicomponent, tailored, and community-based interventions were most effective; however, the long-term effect of these interventions remains unclear. More research is needed in low- and middle-income countries, with consideration of adolescents' level of autonomy in food choice in local food environments and the long-term effectiveness of interventions. Systematic Review Registration: Open Science Framework identifier osf.io/h3jz6.</p>","PeriodicalId":19469,"journal":{"name":"Nutrition reviews","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Association Between Overall, Healthy, and Unhealthy Plant-Based Diet Index and Risk of Prediabetes and Type 2 Diabetes Mellitus: A Systematic Review and Dose-Response Meta-Analysis of Prospective Studies. 整体、健康和不健康植物性饮食指数与糖尿病前期和 2 型糖尿病风险之间的关系:前瞻性研究的系统回顾与剂量反应元分析》。
IF 6.1 2区 医学
Nutrition reviews Pub Date : 2024-05-25 DOI: 10.1093/nutrit/nuae049
Ali Nikparast, Parmis Mirzaei, Zeinab S Tadayoni, Golaleh Asghari
{"title":"The Association Between Overall, Healthy, and Unhealthy Plant-Based Diet Index and Risk of Prediabetes and Type 2 Diabetes Mellitus: A Systematic Review and Dose-Response Meta-Analysis of Prospective Studies.","authors":"Ali Nikparast, Parmis Mirzaei, Zeinab S Tadayoni, Golaleh Asghari","doi":"10.1093/nutrit/nuae049","DOIUrl":"https://doi.org/10.1093/nutrit/nuae049","url":null,"abstract":"<p><strong>Context: </strong>The global incidence of prediabetes and type 2 diabetes mellitus (T2DM) has increased substantially in recent years. Among the established, modifiable lifestyle factors associated with favorable prediabetes and T2DM risk, healthy dietary patterns have attracted considerable attention.</p><p><strong>Objective: </strong>The association between adherence to plant-based dietary pattern indices (PDIs), including the overall PDI (O-PDI), healthy PDI (H-PDI), and unhealthy PDI (U-PDI), and the risk of prediabetes and T2DM was investigated in this study.</p><p><strong>Data sources: </strong>A literature search was conducted of the PubMed/Medline, Scopus, and Web of Sciences databases from their inception to February 2024. A systematic review and meta-analysis were conducted using random effects models and dose-response analyses. The Cochran Q test and the I2 statistic were used to evaluate heterogeneity between studies.</p><p><strong>Data extraction: </strong>A total of 16 publications, with data on a total of 721 012 participants, were identified for the meta-analysis.</p><p><strong>Data analysis: </strong>According to a pooled analysis, compared with the lowest category of O-PDI and H-PDI adherence, the highest category was associated with a 14% and 19% reduction in T2DM risk, respectively, for O-PDI (effect size [ES] = 0.86; 95%CI, 0.82-0.90; I2 = 57.7) and H-PDI (ES = 0.81; 95%CI, 0.75-0.88; I2 = 82.6). Greater adherence to U-PDI was significantly associated with an 10% increase in the risk of T2DM (ES = 1.10; 95%CI, 1.04-1.16). Consistent associations were found within the predetermined subgroups. As well, there was a nonlinear inverse association between O-PDI, H-PDI, and T2DM risk. No significant association was found between adherence to O-PDI (ES = 0.87; 95%CI, 0.75-1.01; I2 = 68%), H-PDI (ES = 0.99; 95%CI, 0.87-1.13; I2 = 0.0%), and U-PDI (ES = 1.09; 95%CI, 0.94-1.21; I2 = 22.9%) and risk of prediabetes.</p><p><strong>Conclusion: </strong>These findings underscore the importance of dietary selections within the framework of a plant-based dietary pattern, particularly when incorporating healthful, plant-based foods, which may have potential benefits in reducing the T2DM risk.</p><p><strong>Systematic review registration: </strong>PROSPERO registration no. CRD42023459851.</p>","PeriodicalId":19469,"journal":{"name":"Nutrition reviews","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Short-Chain Fatty Acids and Preeclampsia: A Scoping Review. 短链脂肪酸与先兆子痫:范围界定综述。
IF 6.1 2区 医学
Nutrition reviews Pub Date : 2024-05-25 DOI: 10.1093/nutrit/nuae057
Heather J Zhao, Yingan Chen, Tiange Liu, Kristen McArthur, Noel T Mueller
{"title":"Short-Chain Fatty Acids and Preeclampsia: A Scoping Review.","authors":"Heather J Zhao, Yingan Chen, Tiange Liu, Kristen McArthur, Noel T Mueller","doi":"10.1093/nutrit/nuae057","DOIUrl":"https://doi.org/10.1093/nutrit/nuae057","url":null,"abstract":"<p><strong>Background: </strong>Preeclampsia (PE) is a pregnancy-associated hypertension disorder with high morbidity and mortality. Short-chain fatty acids (SCFAs)-molecules produced by gut microbes-have been associated with hypertension, yet their relation to PE remains uncertain.</p><p><strong>Objectives: </strong>The aim was to review existing human studies that examined associations of the major SCFAs (acetate, propionate, butyrate) in pregnancy with PE development.</p><p><strong>Methods: </strong>Two reviewers independently searched online databases (EMBASE, PubMed, Web of Science, and Cochrane Database of Systematic Reviews) in January 2024 using the following terms: \"short-chain fatty acids,\" \"acetic acid,\" \"butyric acid,\" \"propionic acid,\" and \"preeclampsia.\" The final set of included studies had to report associations of SCFAs with PE, be peer-reviewed, be written in English, and be conducted in humans.</p><p><strong>Results: </strong>The abstracts of 907 studies were screened; 43 underwent full-text screening and 11 (1318 total participants, 352 with PE) were included in the final review. All studies used a case-control design. SCFAs were measured in a range of biospecimens (eg, serum, plasma, feces, placentas, and amniotic fluid) that were collected at distinct time points in pregnancy. All 7 studies that investigated butyrate found that it was lower in PE cases than in controls, with 6 of these showing statistical significance (P < .05). Five studies showed that acetate was significantly lower in individuals with PE compared with healthy individuals, while 1 study found that acetate was significantly higher in PE cases. One study reported significantly higher propionate among PE cases vs controls, while 2 studies reported significantly lower propionate levels in PE cases. The nuance in results for acetate and propionate may owe to reasons such as differences in distributions of population characteristics associated with SCFA level and PE or type of PE (early vs late).</p><p><strong>Conclusion: </strong>Current epidemiologic evidence, which derives only from case-control studies, suggests that SCFAs, particularly butyrate (protective), in pregnancy are related to the development of PE. Large-cohort studies are warranted to investigate the temporality and potential causality of these associations.</p>","PeriodicalId":19469,"journal":{"name":"Nutrition reviews","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Nuts on Anthropometric and Glycemic Indexes and Blood Pressure in Secondary Cardiovascular Prevention: A Systematic Review and Meta-analysis of Randomized Controlled Trials. 坚果对心血管二级预防中人体测量和血糖指数及血压的影响:随机对照试验的系统回顾和元分析》。
IF 6.1 2区 医学
Nutrition reviews Pub Date : 2024-05-23 DOI: 10.1093/nutrit/nuae054
Ângela C Bersch-Ferreira, Camila Weschenfelder, Gustavo Waclawovsky, Lucas R da Silva, Elana Stein, Rachel H V Machado, Mabel F Figueiro, Erica A Suzumura, Renato H N Santos, Graziela Biude Silva Duarte, Marcelo M Rogero, Erlon O de Abreu-Silva, Alexandre B Cavalcanti, Aline Marcadenti
{"title":"Effect of Nuts on Anthropometric and Glycemic Indexes and Blood Pressure in Secondary Cardiovascular Prevention: A Systematic Review and Meta-analysis of Randomized Controlled Trials.","authors":"Ângela C Bersch-Ferreira, Camila Weschenfelder, Gustavo Waclawovsky, Lucas R da Silva, Elana Stein, Rachel H V Machado, Mabel F Figueiro, Erica A Suzumura, Renato H N Santos, Graziela Biude Silva Duarte, Marcelo M Rogero, Erlon O de Abreu-Silva, Alexandre B Cavalcanti, Aline Marcadenti","doi":"10.1093/nutrit/nuae054","DOIUrl":"https://doi.org/10.1093/nutrit/nuae054","url":null,"abstract":"<p><strong>Context: </strong>Nut-enriched diets have a positive impact on cardiovascular risk factors, such as body mass, blood pressure, and fasting blood glucose. However, studies in individuals undergoing secondary cardiovascular prevention show controversial results.</p><p><strong>Objective: </strong>This systematic review with meta-analysis assessed the effect of nut supplementation on anthropometric, glycemic, and blood pressure indices in patients with atherosclerotic cardiovascular disease, as well as the frequency of adverse events.</p><p><strong>Data sources: </strong>Six databases were used for the search-PubMed, Cochrane Library, EMBASE, BVS (Biblioteca Virtual da Saude), Web of Science, and ClinicalTrials.gov-until February 2023, with no language restrictions.</p><p><strong>Data extraction: </strong>The Cochrane Handbook for Systematic Reviews of Interventions methodology and the PICOS (Population, Intervention, Comparison, Outcome, Setting/design) strategy were used. Seven independent reviewers were involved in data extraction and resolution of disagreements. Certainty of the evidence was evaluated using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system.</p><p><strong>Data analysis: </strong>From 5187 records identified, 6 publications containing data referring to 5 randomized clinical trials (n = 436) were included in the final analyses. The nuts evaluated were almonds, pecans, Brazil nuts, and mixed nuts, with portions that varied between 5 g and 85 g (median: 30 g/day). The intervention period varied between 6 and 12 weeks. The nuts had no effect on fasting glucose and anthropometric indices, although the certainty of the evidence for most of these outcomes was low or very low. They also had no effect on systolic (mean difference [MD]: -1.16 mmHg [95% CI, -5.68 to 3.35], I2 = 0%-moderate certainty of evidence) or diastolic (MD: 0.10 mmHg [95% CI, -2.30 to 2.51], I2 = 0%-high certainty of evidence) blood pressure. It was not possible to aggregate data on adverse events.</p><p><strong>Conclusion: </strong>Nut supplementation had no effect on blood pressure, fasting glucose, or anthropometric profile in the context of atherosclerotic cardiovascular disease.</p><p><strong>Systematic review registration: </strong>PROSPERO registration no. CRD42020163456.</p>","PeriodicalId":19469,"journal":{"name":"Nutrition reviews","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effects of omega-3 polyunsaturated fatty acids on muscle and whole-body protein synthesis: a systematic review and meta-analysis. 欧米伽-3 多不饱和脂肪酸对肌肉和全身蛋白质合成的影响:系统综述和荟萃分析。
IF 6.1 2区 医学
Nutrition reviews Pub Date : 2024-05-23 DOI: 10.1093/nutrit/nuae055
Atiporn Therdyothin, Konstantinos Prokopidis, Francesco Galli, Oliver C Witard, Masoud Isanejad
{"title":"The effects of omega-3 polyunsaturated fatty acids on muscle and whole-body protein synthesis: a systematic review and meta-analysis.","authors":"Atiporn Therdyothin, Konstantinos Prokopidis, Francesco Galli, Oliver C Witard, Masoud Isanejad","doi":"10.1093/nutrit/nuae055","DOIUrl":"https://doi.org/10.1093/nutrit/nuae055","url":null,"abstract":"<p><strong>Context: </strong>Sarcopenia describes the age-related decline in skeletal muscle mass and strength that is driven, at least in part, by an imbalance between rates of muscle protein synthesis (MPS) and muscle protein breakdown. An expanding body of literature has examined the effect of omega-3 polyunsaturated fatty acid (n-3 PUFA) ingestion on MPS rates in older adults, with mixed findings.</p><p><strong>Objective: </strong>The aim of this systematic review and meta-analysis was to investigate the effectiveness of n-3 PUFA ingestion in stimulating rates of MPS and whole-body protein synthesis in healthy adults and clinical populations.</p><p><strong>Data sources: </strong>Searches were conducted of the PubMed, Web of Science, Cochrane Library, and Scopus databases from inception until December 2022 for articles on randomized controlled trials comparing the effect of n-3 PUFA ingestion vs a control or placebo on rates of MPS and whole-body protein synthesis. The search yielded 302 studies, of which 8 were eligible for inclusion.</p><p><strong>Data extraction: </strong>The random effects inverse-variance model was used and standardized mean differences (SMDs) with 95%CIs were calculated to assess the pooled effect. Risk of bias was assessed by the Cochrane Risk-of-Bias 2 tool.</p><p><strong>Data analysis: </strong>The main analysis indicated no effect of n-3 PUFA supplementation on MPS rates (k = 6; SMD: 0.03; 95%CI, -0.35 to 0.40; I2 = 30%; P = .89). Subgroup analysis based on age, n-3 PUFA dose, duration of supplementation, and method used to measure fractional synthetic rate also revealed no effect of n-3 PUFA ingestion on MPS. In contrast, the main analysis demonstrated an effect of n-3 PUFA ingestion on increasing whole-body protein synthesis rates (k = 3; SMD: 0.51; 95%CI, 0.12-0.90; I2 = 0%; P = .01).</p><p><strong>Conclusions: </strong>n-3 PUFA ingestion augments the stimulation of whole-body protein synthesis rates in healthy adults and clinical populations.</p><p><strong>Systematic review registration: </strong>PROSPERO registration no. 42022366986.</p>","PeriodicalId":19469,"journal":{"name":"Nutrition reviews","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nutrigenetic and Epigenetic Mechanisms of Maternal Nutrition-Induced Glucolipid Metabolism Changes in the Offspring. 母体营养诱导子代糖脂代谢变化的营养遗传学和表观遗传学机制
IF 6.1 2区 医学
Nutrition reviews Pub Date : 2024-05-23 DOI: 10.1093/nutrit/nuae048
Peng Jiao, Huizhen Lu, Lizhuang Hao, A Allan Degen, Jianbo Cheng, Zongjun Yin, Shengyong Mao, Yanfeng Xue
{"title":"Nutrigenetic and Epigenetic Mechanisms of Maternal Nutrition-Induced Glucolipid Metabolism Changes in the Offspring.","authors":"Peng Jiao, Huizhen Lu, Lizhuang Hao, A Allan Degen, Jianbo Cheng, Zongjun Yin, Shengyong Mao, Yanfeng Xue","doi":"10.1093/nutrit/nuae048","DOIUrl":"https://doi.org/10.1093/nutrit/nuae048","url":null,"abstract":"<p><p>Maternal nutrition during pregnancy regulates the offspring's metabolic homeostasis, including insulin sensitivity and the metabolism of glucose and lipids. The fetus undergoes a crucial period of plasticity in the uterus; metabolic changes in the fetus during pregnancy caused by maternal nutrition not only influence fetal growth and development but also have a long-term or even life-long impact for the offspring. Epigenetic modifications, such as DNA methylation, histone modification, and non-coding RNAs, play important roles in intergenerational and transgenerational effects. In this context, this narrative review comprehensively summarizes and analyzes the molecular mechanisms underlying how maternal nutrition, including a high-fat diet, polyunsaturated fatty acid diet, methyl donor nutrient supplementation, feed restriction, and protein restriction during pregnancy, impacts the genes involved in glucolipid metabolism in the liver, adipose tissue, hypothalamus, muscle, and oocytes of the offspring in terms of the epigenetic modifications. This will provide a foundation for the further exploration of nutrigenetic and epigenetic mechanisms for integrative mother-child nutrition and promotion of the offspring's health through the regulation of maternal nutrition during pregnancy. Note: This paper is part of the Nutrition Reviews Special Collection on Precision Nutrition.</p>","PeriodicalId":19469,"journal":{"name":"Nutrition reviews","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rethinking food policy framework to tackle childhood obesity in the Italian context. 重新思考食品政策框架,解决意大利儿童肥胖问题。
IF 6.1 2区 医学
Nutrition reviews Pub Date : 2024-05-23 DOI: 10.1093/nutrit/nuae059
Federica Loperfido, Alessandra Vincenti, Sara Basilico, Maria Vittoria Conti, Francesca Orsini, Carlotta Franchi, Cristina Sossan, Andrea Magarini, Gianvincenzo Zuccotti, Valeria Calcaterra, Hellas Cena
{"title":"Rethinking food policy framework to tackle childhood obesity in the Italian context.","authors":"Federica Loperfido, Alessandra Vincenti, Sara Basilico, Maria Vittoria Conti, Francesca Orsini, Carlotta Franchi, Cristina Sossan, Andrea Magarini, Gianvincenzo Zuccotti, Valeria Calcaterra, Hellas Cena","doi":"10.1093/nutrit/nuae059","DOIUrl":"https://doi.org/10.1093/nutrit/nuae059","url":null,"abstract":"<p><p>Pediatric obesity has been described by the World Health Organization as 1 of the most serious public health challenges of the 21st century. Projections of increasing burdens of pediatric obesity and its related diseases on society highlight the need for urgent and substantial action. Many scientific and public debates about the prevention of childhood obesity are centered around simple dichotomies presenting a single-level solution. In contrast, efficient prevention programs should overcome these overly simplistic dichotomies and proceed in the early years of life within the family environment and the whole society, throughout one's lifetime. Food policies have the potential to counteract pediatric obesity by creating healthy food environments. However, the current food policies approach lacks monitoring indicators to assess short- and long-term impact, and is not well integrated into regional, national, and cross-cutting initiatives. Therefore, redesigning and rethinking food policy strategies and goals is an important opportunity to address childhood obesity, safeguard the planet, and contribute to economic and social prosperity.</p>","PeriodicalId":19469,"journal":{"name":"Nutrition reviews","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Promoting healthy school food environments and nutrition in Canada: a systematic review of interventions, policies, and programs. 在加拿大促进健康的学校食品环境和营养:对干预措施、政策和计划的系统回顾。
IF 6.1 2区 医学
Nutrition reviews Pub Date : 2024-05-20 DOI: 10.1093/nutrit/nuae030
Bianca Carducci, Georgia Dominguez, Emily Kidd, Christina Oh, Reena Jain, Amira Khan, Zulfiqar A Bhutta
{"title":"Promoting healthy school food environments and nutrition in Canada: a systematic review of interventions, policies, and programs.","authors":"Bianca Carducci, Georgia Dominguez, Emily Kidd, Christina Oh, Reena Jain, Amira Khan, Zulfiqar A Bhutta","doi":"10.1093/nutrit/nuae030","DOIUrl":"https://doi.org/10.1093/nutrit/nuae030","url":null,"abstract":"<p><strong>Context: </strong>The school food environment is a critical interface for child and adolescent nutrition, and there is a need to understand existing literature on Canadian school food environments to identify equity gaps and opportunities, and empower decision-makers to plan for future action.</p><p><strong>Objective: </strong>Literature on Canadian school food and nutrition interventions, policies, programs, and their effects on diets and nutritional status are synthesized and appraised in this systematic review.</p><p><strong>Data sources: </strong>A search strategy was developed for each database used (Medline, Embase, PsycINFO, ERIC, Cochrane Collaboration, Canadian Electronic Library, BiblioMap), with a combination of free text and controlled vocabulary, for articles published from 1990 to 2021. Unpublished data and grey literature were also searched.</p><p><strong>Data extraction: </strong>Quantitative and qualitative studies with an observational or intervention study design, reviews, or program evaluations conducted in Canadian schools with participants aged 5-19.9 years were included. Key study characteristics and risk of bias were extracted independently by 2 investigators using a standardized tool.</p><p><strong>Data analysis: </strong>A total of 298 articles were included (n = 192 peer reviewed and 106 from the grey literature), which were mostly conducted in Ontario (n = 52), British Columbia (n = 43), and Nova Scotia (n = 28). Twenty-four interventions, 5 nonevaluated programs, and 1 policy involved Indigenous populations. Overall, 86 articles measured and reported on effectiveness outcomes, including dietary intake; anthropometry; knowledge, attitudes, and practices; and physical activity. The literature remains largely heterogenous and primarily focused on nutrition education programs that use subjective assessments to infer changes in nutrition. A key facilitator to implementation and sustainability was community engagement, whereas key barriers were staff capacity, access to resources and funding, and consistent leadership.</p><p><strong>Conclusions: </strong>This review provides insight into Canadian school food and nutrition interventions, programs, and policies and uncovers important evidence gaps that require careful examination for future evaluations. Governments must create supportive environments that optimize nutrition for children and adolescents through equitable policies and programs.</p><p><strong>Systematic review registration: </strong>PROSPERO registration no. CRD42022303255.</p>","PeriodicalId":19469,"journal":{"name":"Nutrition reviews","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141071617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mediterranean Diet and Mental Health in Children and Adolescents: A Systematic Review. 地中海饮食与儿童和青少年的心理健康:系统回顾。
IF 6.1 2区 医学
Nutrition reviews Pub Date : 2024-05-17 DOI: 10.1093/nutrit/nuae053
Patricia Camprodon-Boadas, Aitana Gil-Dominguez, Elena De la Serna, Gisela Sugranyes, Iolanda Lázaro, Immaculada Baeza
{"title":"Mediterranean Diet and Mental Health in Children and Adolescents: A Systematic Review.","authors":"Patricia Camprodon-Boadas, Aitana Gil-Dominguez, Elena De la Serna, Gisela Sugranyes, Iolanda Lázaro, Immaculada Baeza","doi":"10.1093/nutrit/nuae053","DOIUrl":"https://doi.org/10.1093/nutrit/nuae053","url":null,"abstract":"<p><strong>Context: </strong>Childhood and adolescence are periods of critical importance in the development of mental health disorders. The Mediterranean diet (MD) has been linked to multiple positive health outcomes, including reduced incidence of mental health disorders and fewer psychiatric symptoms.</p><p><strong>Objective: </strong>This study aimed to investigate the association between adherence to an MD and mental health outcomes in children and adolescents.</p><p><strong>Methods: </strong>A systematic literature review was conducted of original research that explored the relationship between psychiatric symptoms or disorders and adherence to an MD. The literature search was conducted on PubMed, Scopus, Web of Science, MEDES, Dialnet, and Latindex from inception to November 2022, and the Newcastle-Ottawa Scale was used to evaluate the quality of studies.</p><p><strong>Results: </strong>A total of 13 studies (6 cross-sectional, 4 case-control, 2 randomized clinical trials, and 1 longitudinal cohort) out of 450 met the inclusion criteria. A total of 3058 children or adolescents with a mean age range from 8.6 to 16.2 years were included. Among the reviewed studies, 5 (71.42%) of those looking at attention-deficit/hyperactivity disorder, 4 (80%) examining depression, and 2 (50%) assessing anxiety found a significant protective association. Seven articles (53.84%) were found to be of high quality and 6 (46.15%) of moderate quality.</p><p><strong>Conclusion: </strong>Adherence to an MD could be a protective factor for mental health in child and adolescent populations. This suggests that promoting an MD could help prevent the onset of clinical psychiatric symptoms, reduce symptom severity, and improve prognosis in young patients.</p><p><strong>Systematic review registration: </strong>PROSPERO registration no. CRD42021276316.</p>","PeriodicalId":19469,"journal":{"name":"Nutrition reviews","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of dietary seaweed on obesity-related metabolic status: a systematic review and meta-analysis of randomized controlled trials. 膳食海藻对肥胖相关代谢状况的影响:随机对照试验的系统回顾和荟萃分析。
IF 6.1 2区 医学
Nutrition reviews Pub Date : 2024-05-15 DOI: 10.1093/nutrit/nuae042
Karolina Łagowska, Adam Jurgoński, Mari Mori, Yukio Yamori, Shigeru Murakami, Takashi Ito, Toshiya Toda, Joanna Maria Pieczyńska-Zając, Joanna Bajerska
{"title":"Effects of dietary seaweed on obesity-related metabolic status: a systematic review and meta-analysis of randomized controlled trials.","authors":"Karolina Łagowska, Adam Jurgoński, Mari Mori, Yukio Yamori, Shigeru Murakami, Takashi Ito, Toshiya Toda, Joanna Maria Pieczyńska-Zając, Joanna Bajerska","doi":"10.1093/nutrit/nuae042","DOIUrl":"https://doi.org/10.1093/nutrit/nuae042","url":null,"abstract":"<p><strong>Context: </strong>Seaweed is a promising source of anti-obesity agents, including polysaccharides, proteins, polyphenols, carotenoids, and n-3 long-chain polyunsaturated fatty acids. The anti-obesity effects of such compounds may be due to several mechanisms, including inhibition of lipid absorption and metabolism, effect on satiety, and inhibition of adipocyte differentiation.</p><p><strong>Objective: </strong>The aim of this study was to assess the evidence from human randomized controlled trials for the effects of seaweed on body-weight status as well as lipid and nonlipid parameters in adults with overweight and obesity.</p><p><strong>Data sources: </strong>Four databases-Medline, Scopus, Web of Science, and Cochrane Library-were searched from December 2022 to June 2023 using the following key words: Seaweed OR fucoxanthin OR alginates OR fucoidans OR phlorotannin's OR macroalgae OR marine algae AND obesity OR overweight OR BMI OR body mass index.</p><p><strong>Data extraction: </strong>Eleven interventional studies (10 parallel and 1 crossover) were extracted.</p><p><strong>Data analysis: </strong>Meta-analysis showed a significant effect, favoring the intervention group for BMI (body mass index) (standardized mean difference [SMD]: -0.40; 95% CI: -0.65 to -0.16 kg/m2; P = 0.0013) and percentage of fat mass (SMD: -1.48; 95% CI: -2.66% to -0.30%, P = 0.0138). The results were seen when refined or extracted brown seaweed (BMI) or only refined brown seaweed (% fat mass) were administered to participants for at least 8 weeks. Moreover, a significant overall effect of seaweed supplementation on total cholesterol (SMD: -7.72; 95% CI: -12.49 to -2.95 mg/dL; P = 0.0015) and low-density-lipoprotein cholesterol (SMD: -7.33; 95% CI: -11.64 to -3.02 mg/dL; P < 0.001) was noted. Any significant effects of seaweed on glucose metabolism were not shown.</p><p><strong>Conclusion: </strong>Edible seaweed supplementation shows potential for managing obesity and disorders of the blood lipid profile when administered to participants for at least 8 weeks.</p><p><strong>Systematic review registration: </strong>PROSPERO registration no. CRD42022378484 (www.crd.york.ac.uk/PROSPERO).</p>","PeriodicalId":19469,"journal":{"name":"Nutrition reviews","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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